Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Sarscov & Inf Vir A&B Ag Ia
Holyoke, MA
See all hospitals reporting CPT 87428 →Price type
Holyoke Medical Center’s median price of $72 is about the same as the median hospital's median price ($73), higher than 46% of the 1,734 hospitals reporting CPT 87428. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue cross blue shield hmo facility · other · outpatient | $14.98 | $14.98 | $14.98 – $14.98 |
| 2 | Blue Cross Blue Shield blue cross blue shield indemnity facility · other · outpatient | $14.98 | $14.98 | $14.98 – $14.98 |
| 3 | Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient | $14.98 | $14.98 | $14.98 – $14.98 |
| 4 | Medicaid medicaid facility · fee schedule · outpatient | $63.59 | $63.59 | $63.59 – $63.59 |
| 5 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 6 | Blue Cross Blue Shield blue cross blue shield medicare advantage facility · fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 7 | Medicare medicare facility · fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 8 | UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 9 | Aetna aetna commercial facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 10 | UnitedHealthcare uhc evercare (sco) facility · fee schedule · outpatient | $72.32 | $72.32 | $72.32 – $72.32 |
| 11 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $88.34 | $88.34 | $88.34 – $88.34 |
| 12 | Cigna evernorth bh facility · percent of total billed charges · inpatientfrom % of charges | $88.90 | $88.90 | $88.90 – $88.90 |
| 13 | Magellan magellan mass facility · percent of total billed charges · inpatientfrom % of charges | $88.90 | $88.90 | $88.90 – $88.90 |
| 14 | Magellan magellan swh facility · percent of total billed charges · inpatientfrom % of charges | $88.90 | $88.90 | $88.90 – $88.90 |
| 15 | Cigna cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $93.34 | $93.34 | $93.34 – $93.34 |
| 16 | UnitedHealthcare uhc harvard pilgrim facility · other · outpatient | $96.67 | $96.67 | $96.67 – $96.67 |
| 17 | Cigna cigna commercial facility · fee schedule · outpatient | $108.95 | $108.95 | $108.95 – $108.95 |
Last updated: May 1, 2026
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